Abstract
Gallbladder perforation is a rare complication of cholecystitis and cholelithiasis. The high morbidity and mortality rates associated with this condition are due to delays in diagnosis and treatment since signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis. We report on a patient who was affected by Child-Pugh A alcoholic liver cirrhosis and who developed an acute gallbladder perforation with spillage of stones into the peritoneal cavity and give a review of the current literature.
Highlights
Asymptomatic cholelithiasis is a frequent condition which affects up to 10% of the adult population in wealthy nations
Acute cholecystitis develops in up to 2% of patients affected by asymptomatic cholelithiasis
On the other hand patients may show weakness, malaise and a palpable right upper quadrant mass, mimicking a malignacy. As most of these features are present in acute cholecystitis, it is difficult to discriminate clinically between patients with perforated gallbladder and those with uncomplicated acute cholecystitis
Summary
Asymptomatic cholelithiasis is a frequent condition which affects up to 10% of the adult population in wealthy nations. Gallbladder perforation occurs in 2 to 11% of acute cholecystitis cases. Cases of intrahepatic perforation of the gallbladder with liver abscess and cholecystohepatic communication have been reported [3].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
